Stroke Triage App
The Stroke Triage App was developed to aid pre-hospital triage of adults with a suspected stroke and was used by paramedics in the Rotterdam-Rijnmond and Zuid-Holland Zuid regions from January 22, 2024 to March 30, 2026. The implementation of the application is being scientifically evaluated in the PRESTO-2 study (MEC-2023-0567).
Prehospital triage aims to ensure that patients with a suspected stroke are transported directly to the appropriate hospital. The Stroke Triage App supports ambulance staff in deciding which hospital a stroke patient should be transported to. It works as follows:
- Input: The user enters clinical information such as symptom onset and neurological symptoms.
- Context data: The app incorporates location data and calculates travel times to hospitals in the operating region.
- Decision logic: It combines clinical severity (RACE score), time since onset, and logistics.
- Output: It provides a personalized transport recommendation (nearest hospital vs. intervention center).
For a visual walkthrough, please refer to the screenshots below and hover over each image.
Training
Training materials were provided during the implementation of Stroke Triage App, which consist of the following content in Dutch:
- Prehospital triage guidelines.
- Conducting and measuring the RACE score, including an instructional video presentation.
- Practical implementation of the Stroke Triage App during active field operations.
Instructional Video: Performing the RACE Score (Dutch)
Research & Studies
The implementation of the application is being scientifically evaluated in the PRESTO-2 study (MEC-2023-0567). Below you will find the study protocol and the associated documentation, together with related publications (once available):
Transition to Acute Care Triage
As of March 6, 2026, the Stroke Triage App has been replaced by Acute Care Triage (ACT), which is currently in continuous use by Ambulance Rotterdam-Rijnmond and Zuid-Holland Zuid. ACT was developed to ensure ongoing support, maintenance, and future expansion of digital triage solutions in acute care.
Go directly to the new platform via the link below:
Contact
Do you have questions about the Stroke Triage App or about the historical research data?
